Ultrasound kwezicubu ezithambile entanyeni salivary nezindlala

Ultrasonography (US) iyindlela ukuphenywa kokuphulwa i umzimba usebenzisa amagagasi ultrasonic. Kuye ziyasatshalalaiswa kule imithi, ngenxa ukuphepha yayo futhi ezingeni eliphezulu informativeness. Ukuze sitholakele izinqubo sokugembula asathuthuka nezindlala salivary, kanye entanyeni ezithambile izicubu ultrasound ke siyindlela ezivamile. Ngesikhathi esifanayo uphatha ukumambula izifo eziningi kusaqalwa yentuthuko yabo.

Intamo ultrasound okuboniswe kwalezi zimo:

• khona ukwakhiwa palpable esifundeni wesibeletho;
• izinsolo kutsi sitfutfukise inqubo pathologic e imithambo carotid, okuyinto ngokuvamile itholwa ngesisekelo izimpawu ukwehluleka ukugeleza kwegazi kuzo, kanye umsindo indawo ngesikhathi auscultation ezitsheni.

Kufanele kuqashelwe ukuthi yesibili icala ultrasound izicubu zomzimba ezithambile entanyeni kuyindlela eyengeziwe ukuxilongwa. Ukuze sicacise uphethwe noma kunjalo kuyodingeka ichithe ama doplerografii carotid imithambo.

Ngenxa yalokho we ultrasound endaweni entanyeni kungaba ngokwanele ezinkulu kalula futhi ngezinga eliphezulu Ukuphendula ukuhlonza kokubili ebalulekile kanye izilonda ehlasela umzimba:

ebalulekile:

• engeyokuqala (okuqinile) kumiswa (zingabantu nokuthola ezivamile ngemva kokutshelwa ngokukhubazeka kwengane, kuyilapho iningi labo limele ushintsho yegilo adenomatous, ingozi umdlavuza okuyinto ongaphakeme);
• simila (izinhlumba beqiniso bayivelakancane, bona uxilongwe kwenzeka ukuthi abe kucace, nentaba ezibushelelezi ingaphakathi anechogenic (ngaphandle ezimweni lapho kwakukhona khona ukopha simila ingaphakathi));
• abscesses futhi ukopha (ultrasound ngokuvamile ibukeke kumiswa echogenic nge wabuka usongene futhi ingaphakathi anechogenic ngaphakathi uma kungekho ukopha);
• calcifications (hyperechoic lezi zakhiwo ngokuvamile nobuntu adenomas yegilo, Nokho, futhi zingase zibe Indlela umdlavuza).

ekubhebhetselisa:

• yegilo ukukhulisa ngobukhulu, ngenkathi sigcina ehostruktury iyunifomu;
• yegilo ukukhulisa ngobukhulu ne heterogeneity definition ehostruktury.

Okokuqala samuntu ekubhebhetselisa izinguquko uthanda izifo ezifana goiter, ukuthomba Hyperplasia, i-hyperthyroidism, post-resection ngokuzibona yegilo Hyperplasia. Esimeni sesibili kungenzeka ukusola ukuthuthukiswa goiter multinodular futhi thyroiditis sokuhlasela kwamasosha omzimba.

Kuphethe ezifana izindlela zokuxilonga ezifana ultrasound ukuhlola nezindlala salivary, ke kunengqondo ngempela kuphela uma kukhona okungenani eyodwa zimpawu ezilandelayo:

• kweNdikimba submandibular futhi parotid salivary nezindlala enikeziwe kanyekanye ukhulisa izinga lokushisa komzimba;
• zokwakheka ebukhoneni submandibular palpable, parotid kanye / noma endaweni sublingual;
• khona ubuhlungu, ukungakhululeki kanye / noma nokuvuvukala submandibular, parotid kanye / noma endaweni sublingual.

e nezindlala salivary of ultrasound izicubu zomzimba ezithambile lembula izinqubo ezilandelayo sokugembula:

• izinhlumba;
• abscesses;
• izimila benign nesibulalayo;
• ukusikwa noma ukunwetshwa imbobo nezindlala;
• sialadenoz;
• sialodenit;
• sialolity.

Olwenziwe okwakuhlalwa kuzo lapho kusaqalwa, elithambile izicubu ultrasound yakho ngokuvamile kwenza kube lula ukubona ukuthi lesi sifo ngezigaba zayo zokuqala zentuthuko, bese wenza amalungiselelo okunengqondo ukuze ayokwelashwa, okuyinto kakhulu kwandisa amathuba lesiguli zokululama.